DR. JENNIFER BRYAN (CNP) – Family Nurse Practitioner, NPI 1770207946

DR. JENNIFER BRYAN (CNP) is a healthcare provider. based in Cannon falls, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 9569 (MN). The NPI Number for DR. JENNIFER BRYAN (CNP) is 1770207946

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER BRYAN (CNP)
NPI
1770207946
Phone
(612) 965-9244
Address
30330 72ND AVENUE WAY
Enumeration Date
30 September 2022
Last Update Date
25 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529937750
Graduation Year
2022 (4 years ago)
PAC ID
0446628739
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20221117000519
Address ID
MN553724119PR4670XSEXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for DR. JENNIFER BRYAN (CNP)

  • 30330 72ND AVENUE WAY

    CANNON FALLS, MN 550094014

    Phone: (612) 965-9244

    Type: Mailing

  • 1900 8TH AVE NW

    AUSTIN, MN 559121473

    Phone: (612) 965-9244

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 4670 PARK NICOLLET AVE SE

    PRIOR LAKE, MN 553724119

    Phone: (952) 993-7750

    Fax: (952) 993-7835

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221117000519INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4538$0
36415Insertion of needle into vein for collection of blood sample3828$0
99214Established patient office or other outpatient visit, 30-39 minutes3325$0
View full utilization report →

Insurance plans in this area (ZIP 55009)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

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Frequently asked questions

What NPI should I save for DR. JENNIFER BRYAN (CNP)?
Save NPI 1770207946 if you need a stable reference for DR. JENNIFER BRYAN (CNP).
Is DR. JENNIFER BRYAN (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. JENNIFER BRYAN (CNP) work in?
You can think of DR. JENNIFER BRYAN (CNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JENNIFER BRYAN (CNP)?
The page summarizes Cannon Falls, Minnesota for DR. JENNIFER BRYAN (CNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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